Clinical analysis of combined organ resection for T4b gastric cancer / 中华胃肠外科杂志
Chinese Journal of Gastrointestinal Surgery
; (12): 502-504, 2012.
Article
en Zh
| WPRIM
| ID: wpr-321593
Biblioteca responsable:
WPRO
ABSTRACT
<p><b>OBJECTIVE</b>To evaluate the outcomes of combined organ resection for T4b gastric cancer, and determine the operative indication and prognostic factors.</p><p><b>METHODS</b>Clinical data of 96 cases with T4bN0-3bM0 gastric cancer treated with combined organ resection in Tianjin Cancer Hospital from 2001 to 2005 were analyzed retrospectively.</p><p><b>RESULTS</b>Twelve patients developed postoperative complications, including pancreatic fistula (n=4), abdominal infection(n=5), pulmonary infection(n=3), all of which were managed with conservative treatment. There were no perioperative deaths. All the patients had postoperative follow up with a median of 73 months. The 1-, 3-, 5-year overall survival rates were 70.5%, 42.1%, and 23.5%, respectively. Univariate analysis showed that Borrmann type, histologic type, lymph node staging, and pancreatic invasion were associated with the survival in patients with T4b gastric cancer(both P<0.05). Multivariable analysis showed that lymph node staging and histologic type were independent prognostic factors(all P<0.05).</p><p><b>CONCLUSION</b>For well differentiated gastric cancer with lymph node staging of pN0 or pN1, combined organ resection may offer survival benefit.</p>
Texto completo:
1
Base de datos:
WPRIM
Asunto principal:
Pronóstico
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Neoplasias Gástricas
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Cirugía General
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Estudios Retrospectivos
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Estudios de Seguimiento
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Resultado del Tratamiento
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Gastrectomía
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Escisión del Ganglio Linfático
Tipo de estudio:
Observational_studies
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Prognostic_studies
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Risk_factors_studies
Límite:
Adult
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Aged
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Aged80
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Female
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Humans
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Male
Idioma:
Zh
Revista:
Chinese Journal of Gastrointestinal Surgery
Año:
2012
Tipo del documento:
Article